Search → SAM SHUROT
DEPARTMENT OF PROFESSIONAL AND FINANCIAL REGULATION
BUREAU OF INSURANCE
SAM SHUROT
PRODUCER NON-RESIDENT
License Number:
PRN254477
Status:
First Licensure:
08/18/2015
Cancel Date:
None
Mailing:
QUEEN CREEK, AZ 85140
Phone:
+1 (801) 559-8041
Fax:
+1 (801) 559-8041
Email:
sam.shurot@homesite.com
| License Type | Start Date | End Date |
|---|---|---|
| PRODUCER NON-RESIDENT | 08/18/2015 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| THE GENERAL AUTOMOBILE INS SERVICES INC |
11/02/2017 | AGN167123 | 03/02/2021 |
| Name | Issue Date | License Number | Expiration Date | Cancel Date |
|---|---|---|---|---|
| AMERICAN MODERN HOME INSURANCE COMPANY |
03/21/2016 | PCF808 | 10/28/2021 | |
| AMERICAN MODERN PROPERTY & CASUALTY INSURANCE COMPANY |
04/22/2020 | PCF234561 | ||
| FIRST LIBERTY INSURANCE CORPORATION |
08/19/2015 | PCF31779 | 11/12/2015 | |
| FOREMOST INSURANCE COMPANY GRAND RAPIDS, MICHIGAN |
02/01/2018 | PCF445 | ||
| HOMESITE INSURANCE COMPANY OF THE MIDWEST |
03/10/2016 | PCF116371 | ||
| LIBERTY INSURANCE CORPORATION |
08/19/2015 | PCF999 | 11/12/2015 | |
| LIBERTY MUTUAL FIRE INSURANCE COMPANY |
08/19/2015 | PCF330 | 11/12/2015 | |
| LIBERTY MUTUAL INSURANCE COMPANY |
08/19/2015 | PCF331 | 11/12/2015 | |
| LM GENERAL INSURANCE COMPANY |
08/19/2015 | PCF996 | 11/12/2015 | |
| LM INSURANCE CORPORATION |
08/19/2015 | PCF31778 | 11/12/2015 | |
| MIDVALE INDEMNITY COMPANY |
12/09/2020 | PCF79410 | ||
| PERMANENT GENERAL ASSURANCE CORPORATION |
11/01/2017 | PCF232047 | 11/10/2017 |
| Description | Issue Date | Termination Date | Status |
|---|---|---|---|
| CASUALTY | 04/01/2022 | Active | |
| PERSONAL LINES | 08/18/2015 | Active | |
| PROPERTY | 04/01/2022 | Active |
License/Disciplinary Action
None.
GENERAL INFORMATION
NAIC Information
National Producer Number (NPN):
17131090
| Address | Type |
|---|---|
| 10851 N BLACK CANYON HWY FL 3 PHOENIX, AZ 85029-4755 |
Office |
An active license/permit may still be subject to limitations and restrictions as a result of disciplinary action imposed. Please contact the specific licensing board about specific disciplinary actions.
Date: 05/16/2025 07:41:00 AM
